Individual
CHRISTINE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEAVERSON BLVD, BRICK, NJ 08723-7812
(888) 557-8669
Mailing address
2111 OAK KNOLL DR, TOMS RIVER, NJ 08757-1243
(848) 240-2402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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